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    	<h2> Contact</h2>
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                            <td width="100"><span id="formLabel_First" controlid="formElement_First">First Name:</span></font></td>
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                            <option value="AL" selected="true">AL</option>
                            <option value="AK">AK</option>
                            <option value="AZ">AZ</option>
                            <option value="AR">AR</option>
                            <option value="CA">CA</option>
                            <option value="CO">CO</option>
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                            <option value="NJ">NJ</option>
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                            <td><span id="formLabel_Comments" controlid="formElement_Comments">Comments:</span></font></td>
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            				<td style="text-align: center;"> 
            				<h3>Anne's Quest Foundation<br /></h3>
            				<p>
    		            	C/O The Community Foundation For The Greater Capital Region<br />
            		        The Regional Center for Philanthropy<br />
                    		6 Tower Place<br />
		                    Albany, NY 12203<br />
        		            Phone: 518.446.9638<br />
                		    Fax: 518.446.9708<br />
		                	<a href="http://www.cfgcr.org/">www.cfgcr.org</a><br />
        		        	</p>
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